Revenue Cycle Management Specialist

Premiere Dental is actively seeking a highly motivated and experienced Full-Time Revenue Cycle Management (RCM) Specialist with a strong background in dental billing to join our dynamic team.

Location: Ahmedabad, Gujarat, India (Main Office) Job Type: Full-Time-In Person (remote work is not an option)

About Us: Premiere Dental is a leading Dental care services provider dedicated to optimizing revenue cycles for dental practices. We pride ourselves on our commitment to accuracy, efficiency, and client satisfaction, fostering a collaborative and supportive work environment.

Job Summary: The RCM Specialist will play a critical role in ensuring the efficient and accurate processing of dental claims and payments. This position requires in-depth knowledge of dental insurance processes, exceptional attention to detail, and proven proficiency with the Dentrix practice management system. The ideal candidate will be responsible for posting insurance payments, performing comprehensive insurance verification, and proactively managing insurance accounts receivable (AR).

Key Responsibilities:

• Insurance Payment Posting:
• Accurately post insurance payments from Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs) into the Dentrix practice management system.
• Reconcile daily payment batches to ensure all payments are accounted for and correctly applied.
• Research and resolve payment discrepancies, overpayments, and underpayments.
• Insurance Verification:
• Conduct thorough insurance verification for new and existing patients, confirming eligibility, benefits, limitations, and co-pays prior to appointments.
• Communicate benefit details clearly and concisely to dental office staff and patients (if applicable).
• Identify potential issues with insurance coverage and advise on necessary actions.
• Insurance Accounts Receivable (AR) Management:
• Proactively manage and resolve outstanding insurance accounts receivable, including conducting claim status checks, appeals, and re-submissions.
• Identify and investigate denied or rejected claims, making necessary corrections and following up with payers until resolution.
• Communicate effectively with insurance companies to expedite claim processing and payment.
• Maintain detailed records of follow-up activities and claim statuses.
• Dentrix Platform Management:
• Maintain accurate and up-to-date patient and insurance records within the Dentrix system.
• Utilize Dentrix functionalities effectively for all aspects of RCM, including reporting and claim submission.
• Compliance & Communication:
• Adhere to all HIPAA regulations and compliance standards related to patient privacy and data security.
• Collaborate with other RCM team members and dental practice staff to optimize revenue cycle processes and identify areas for improvement.
• Provide excellent customer service to both internal and external stakeholders.

Qualifications:

• Minimum of 2-3 years of direct experience in dental revenue cycle management or medical billing, with a strong emphasis on dental.
• Required: Proven expertise and proficiency with the Dentrix platform system.
• Demonstrated experience in insurance payment posting, comprehensive insurance verification, and proactive insurance accounts receivable (AR) follow-up.
• In-depth understanding of dental insurance processes, terminology, and CDT (Current Dental Terminology) codes.
• Exceptional attention to detail and a high level of accuracy.
• Strong analytical and problem-solving skills, with the ability to identify and resolve complex billing issues.
• Excellent written and verbal communication skills.
• Ability to work independently, manage multiple priorities, and meet deadlines in a fast-paced environment.
• High School Diploma or equivalent required; Associate's or Bachelor's degree in healthcare administration, business, or a related field preferred.

If you are interested in applying for the opportunity, please send your CV to chandana.deka@phneco.com

Job Type: Full-time

Pay: ₹15,486.53 - ₹52,500.00 per month

Work Location: In person